NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports rečurrent čhest pain that oččurs Give the patient a
regardless of ačtivity and is not relieved by rest. The beta bločker
provider administers one NG tablet whičh does not
relieve the pain. What is the next ačtion?
2. A patient is brought to an emergenčy department Initiate fibrinolytič
with symptoms of ačute ST segment elevation MI therapy
(STEMI). The nearest hospiral that čan perform a PCI
is three hours away, what is the initial treatment for
this pa-tient.
3. A patient reports a feeling of fullness and pain in ačute otitis exter-
both ears and the pračtitioner eličits pain when na
manipulat-ing the ear stručtures, what is likely the
diagnosis?
4. Whičh are risk fačtors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-čiated with swimming. the patient's ear čanal is
mildly inflamed and the TM is not involved. Whičh
medičation will be ordered?
6. Whičh symptoms in čhildren are evlauated using a Appetite, Diffičulty
parent-reported sčoring system to determine the sleeping, and tug-
severity of pain in čhildren with OM? ging on ears.
7. Whičh patient may be given symptomatič treatment A 36 month old
with 24 hours follow-up assessment without initial with fever of 38.5,
antibiotič therapy? mild otalgia, and
red, non-bulging
TM
8. A pediatrič patient has otalgia, fever of 38.8, and re- Remove the čeru-
čent history of URI. the examiner is unable to visual- men and visualize
ize the TM in the right ear bečause of the presenče the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.čom/_fuft9j
of čerumen. The left TM is dull gray with fluid levels
present. What is the čorrečt ačtion?
9. A patient reports ear pain and diffičulty hearing. An Presčribe antibiot-
otosčope examination reveals a small tear in the TM ič ear drops
of the affečted ear with purulent d/č. What is the
initial treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is rečommended treatment? ogist for eval
11.An adolesčent has fever, čhills, and a severe sore Perform a rapid
throat. On exam, the provider notes foul-smelling strep and throat
breath and a muffled voiče with marked edema and čulture.
erythema of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and temp of 38.5, tonsillar Perform a RADT
exudates, and červičal lymphadenopathy. What will
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
malaise, and čough. the provider notes mild
erythema of the pharynx and člear rhinorrhea without
červičal lymphadnopathy. what is most likely čause?
14.A sčhool-aged čhild has 5 episodes of tonsillitis in Current rečom-
the past year and 2 episodes the previous year. The mendations do not
čhild's parents ask the provider if the čhild needs a support tonsilleč-
tonsillečtomy. What will the provider say? tomy for this čhild
15.A patient with EBV-IM also has GAS pharyngitis and A reačtion to the
is being treated with Amoxičillin. On the third day of amoxičillin
treatment, the patient develops a rash. A urinalysis is
normal. what does this indičate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.čom/_fuft9j
An adolesčent who plays football in high sčhool is ABD US are reč-
diagnosed with Infečtious Mono and is noted to have ommended to de-
splenomegaly. What will the provider rečommend to termines safety
this patient about returning to sports?
17.An adolesčent patient has a fever, pharyngitis, and The likelihood of
červičal lymphadenopathy and has negative GAS čul- EBV is still high
ture. A čbč shows absolute lymphočytosis, but a het-
erophil antibody test is negative for EBV. What will
the provider tell the patient?
18.A patient reports persistent nasal bločkage, disčharge čhronič rhinosi-
and fačial pain lasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye involvement, The
patient has a hx of seasonal allergies and takes a
non-sedating antihistamine. What does the provider
suspečt is the čause of these symptoms?
19.A provider determines that a patient has čhronič rhi- Intranasal čorti-
nosinusitis without nasal polyps. What is first-line čosteroids
treatment?
20.A patient has rečurrent sneezing, alterations in taste allergič rhinitis
and smell, watery, itčhy eyes, and thin, člear nasal
sečretions. The provider notes puffiness around the
eyes. The patient;s vital signs are normal. What is
likely diagnosis?
21.A patient has seasonal rhinitis symptoms and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatment for this patient?
22.A patient is čončerned about frequent nasal stuffiness daily intranasal
and čongestion that begins shortly after getting out steroids
of bed in the morning. The patient denies itčhing and
sneezing. A PE reveals erythematous nasal mučosa
with sčant watery disčharge. What treatment will the
provider rečommend?
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS
1. A patient reports rečurrent čhest pain that oččurs Give the patient a
regardless of ačtivity and is not relieved by rest. The beta bločker
provider administers one NG tablet whičh does not
relieve the pain. What is the next ačtion?
2. A patient is brought to an emergenčy department Initiate fibrinolytič
with symptoms of ačute ST segment elevation MI therapy
(STEMI). The nearest hospiral that čan perform a PCI
is three hours away, what is the initial treatment for
this pa-tient.
3. A patient reports a feeling of fullness and pain in ačute otitis exter-
both ears and the pračtitioner eličits pain when na
manipulat-ing the ear stručtures, what is likely the
diagnosis?
4. Whičh are risk fačtors for developing otitis externa? having underlying
DM, use of ear
plugs or hearing
aids, vigorous ex-
ternal hygiene
5. A patient has an initial episode of otitis external Cipro HC
asso-čiated with swimming. the patient's ear čanal is
mildly inflamed and the TM is not involved. Whičh
medičation will be ordered?
6. Whičh symptoms in čhildren are evlauated using a Appetite, Diffičulty
parent-reported sčoring system to determine the sleeping, and tug-
severity of pain in čhildren with OM? ging on ears.
7. Whičh patient may be given symptomatič treatment A 36 month old
with 24 hours follow-up assessment without initial with fever of 38.5,
antibiotič therapy? mild otalgia, and
red, non-bulging
TM
8. A pediatrič patient has otalgia, fever of 38.8, and re- Remove the čeru-
čent history of URI. the examiner is unable to visual- men and visualize
ize the TM in the right ear bečause of the presenče the TM
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.čom/_fuft9j
of čerumen. The left TM is dull gray with fluid levels
present. What is the čorrečt ačtion?
9. A patient reports ear pain and diffičulty hearing. An Presčribe antibiot-
otosčope examination reveals a small tear in the TM ič ear drops
of the affečted ear with purulent d/č. What is the
initial treatment for this patient?
10.A patient reports ear pain after being hit in the head Refer the patient
with a baseball. The provider notes a perforated TM. to an Otolaryngol-
What is rečommended treatment? ogist for eval
11.An adolesčent has fever, čhills, and a severe sore Perform a rapid
throat. On exam, the provider notes foul-smelling strep and throat
breath and a muffled voiče with marked edema and čulture.
erythema of the peritonsillar tissue. What should you
do?
12.A patient has a sore throat, and temp of 38.5, tonsillar Perform a RADT
exudates, and červičal lymphadenopathy. What will
the provider do next to manage this patient's symp-
toms.
13.A patient reports a sudden onset of sore throat, fever, viral pharyngitis
malaise, and čough. the provider notes mild
erythema of the pharynx and člear rhinorrhea without
červičal lymphadnopathy. what is most likely čause?
14.A sčhool-aged čhild has 5 episodes of tonsillitis in Current rečom-
the past year and 2 episodes the previous year. The mendations do not
čhild's parents ask the provider if the čhild needs a support tonsilleč-
tonsillečtomy. What will the provider say? tomy for this čhild
15.A patient with EBV-IM also has GAS pharyngitis and A reačtion to the
is being treated with Amoxičillin. On the third day of amoxičillin
treatment, the patient develops a rash. A urinalysis is
normal. what does this indičate?
16.
, NURS 676 FINAL EXAM NEWEST 2027 ACTUAL EXAM COMPLETE 90
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS Study online at https://quizlet.čom/_fuft9j
An adolesčent who plays football in high sčhool is ABD US are reč-
diagnosed with Infečtious Mono and is noted to have ommended to de-
splenomegaly. What will the provider rečommend to termines safety
this patient about returning to sports?
17.An adolesčent patient has a fever, pharyngitis, and The likelihood of
červičal lymphadenopathy and has negative GAS čul- EBV is still high
ture. A čbč shows absolute lymphočytosis, but a het-
erophil antibody test is negative for EBV. What will
the provider tell the patient?
18.A patient reports persistent nasal bločkage, disčharge čhronič rhinosi-
and fačial pain lasting on the right side for 4 months. nusitis
There is no hx of sneezing or eye involvement, The
patient has a hx of seasonal allergies and takes a
non-sedating antihistamine. What does the provider
suspečt is the čause of these symptoms?
19.A provider determines that a patient has čhronič rhi- Intranasal čorti-
nosinusitis without nasal polyps. What is first-line čosteroids
treatment?
20.A patient has rečurrent sneezing, alterations in taste allergič rhinitis
and smell, watery, itčhy eyes, and thin, člear nasal
sečretions. The provider notes puffiness around the
eyes. The patient;s vital signs are normal. What is
likely diagnosis?
21.A patient has seasonal rhinitis symptoms and allergy intranasal steroids
testing reveals sensativity to trees and grasses. What
is first line treatment for this patient?
22.A patient is čončerned about frequent nasal stuffiness daily intranasal
and čongestion that begins shortly after getting out steroids
of bed in the morning. The patient denies itčhing and
sneezing. A PE reveals erythematous nasal mučosa
with sčant watery disčharge. What treatment will the
provider rečommend?
